Foot care practices of diabetic patients in Saudi Arabia

Diabetic foot is a serious complication that causes lower extremity amputations. The aim of this study was to identify the patient’s awareness about risk factors for diabetic foot disease and to explore the knowledge and foot care practices among diabetic patients in a Saudi population. This cross-sectional study was conducted in King Khalid University Hospital (KKUH), King Abdulaziz University Hospital (KAUH), King Fahad Medical City, National Guard Hospital, Military Hospital, and Prince Salman Hospital capital city of Saudi Arabia. Patients were eligible if they had diabetes foot disease, signed the consent form, and completed the questionnaire. We selected 350 patients from different hospitals between November-2011 and April-2012. The majority of patients (68%) were selected from King Saud University hospitals. The mean age of patients was 50.87 ± 15.9 years with a range of 20–90 years. The majority of patients were male (64.3%) and had a family history of hypertension (55.4%), high total cholesterol (58.6%), and other diabetes (58.9%). A family history of smoking, a major risk factor for diabetic foot, was found in 20.3% of cases. Sixty percent of the patients were using oral medications, 27.1% were using insulin therapy, 10% were using both oral and insulin therapies, and 10% were on diet. In our study, 19.4% of participants were illiterate while 80.6% had a high school or university level education. Our findings also revealed that some patients had a lack of knowledge concerning diabetic foot disease and future complications. Patients are unaware of the risk factors for diabetes foot and practice poor foot care. Awareness programs should be mandatory in all hospitals and diabetes clinics to help compensate for the lack of awareness and lack of podiatric educational services. Such programs may decrease the risk of diabetes foot disease.     

Analyses of landuse change impacts on catchment runoff using different time indicators based on SWAT model

Previous researches mainly focused on the runoff responses to landuse change based on annual, seasonal or monthly time scales, there are few studies based on daily scale. We conducted a comprehensive investigation into runoff responses on the daily scale as well as annual and monthly time scales using SWAT, and compared the impacts of time scales with different time indicators quantitatively. Jinjiang, a coastal catchment of southeast China with a humid sub-tropical climate, was used for simulations. A calibrated SWAT model produced satisfactory reproduction of annual, monthly and daily runoff processes over a nine-year (2002–2010) period at three gauging stations. Runoff was then simulated and compared using the same meteorological input but two different landuse scenarios (1985 and 2006, with reduced forest and increased cropland and urbanized area). The results showed varying change in runoff among three time scales and three catchments. The annual runoff had the smallest increase between two scenarios, monthly runoffs had medium rates (increasing in all months except October–November), and daily runoff had the largest rates with the increase in flood peaks but decrease in drought flows, because of the variable influence on interception/evapotranspiration loss, percolation and antecedent soil water storage. Indicators of different time scales (annual runoff, monthly runoff, maximum 1-day and 5-day flood runoff, minimum 1-day and 7-day runoff) proved appropriate for analysing landuse change impacts.     

Challenges in the design of indicators for assessing the impact of the Scotland Rural Development Programme 2007–2013 on climate change mitigation

This paper addresses the use of impact indicators with respect to climate change in the 2007–2013 Rural Development Programme (RDP) of the European Union, with particular reference to the Scotland Rural Development Programme (SRDP). It concludes that the policy context has highlighted the need for the rural land use sector to respond to climate change but that the associated Common Monitoring and Evaluation Framework (CMEF) did not develop suitable indicators to assess the impact of SDRP measures on GHG emission mitigation. It suggests improved impact indicators based on the relationship between rural land use and greenhouse gas (GHG) emissions: first, an indicator based on net GHG emissions per holding; and a second based on net GHG emissions per unit volume of output. The paper points out the challenges in measuring land-based emissions accurately. It further proposes screening of RDP measures to ensure that climate change mitigation impacts are properly appraised. It is recognised that climate change policy in relation to rural land use is still at an early stage of development but greater sophistication of policy instrument design and evaluation will be required if the RDP is to contribute significantly to climate change policy objectives.     

Birth seasonality,photoperiod, and social change in the Central Canadian Arctic

Birth seasonally at high latitudes is a complex phenomenon which is undoubtedly affected by a subtle interaction between environmental rhythmicity (most notably in photoperiod and temperature) and cultural adaption. There is intriguing evidence that human gonadotrophic activity (and hence fertility) may be affected by seasonal fluctuations in light intensity and duration. Nevertheless, cultural factors are important insofar as they mediate between environmental rhythmicity and human fertility/birth patterns. This article examines the distribution of births over several decades in an Inuit community located 300 miles north of the Arctic Circle. Several shifts in birth seasonality are noted, the most significant of which is a dramatic shift from pronounced seasonality in the 1970s to non-seasonality in the 1980s. Longitudinal ethnographic fieldwork has allowed an examination of social and economic changes accounting for the rather sudden disappearance of birth seasonality. These include increasing reliance upon wage employment and social assistance, decreased dependence upon subsistence hunting and trapping, changing attitudes on the part of young people entering their prime reproductive years, and the introduction of television, radio, and southern-style recreational activities.     

Plant functional types and climatic change: Introduction

Abstract. Plant functional types are a necessary device for reducing the complex and often uncharted characteristics of species diversity in function and structure when attempting to project the nature and function of species assemblages into future environments. A workshop was held to review the current methods commonly used for defining plant functional types, either globally or for particular biomes, and to compare them with the field experiences of specialists for specific biomes of the world. The methods fall into either an objective and inductive approach or a subjective and deductive approach. When the different methods were tested, it was generally found that the classification for one site or environment was not wholly applicable to a different site or environment. However, the degree of change which is necessary for adjustment between environments may not prove to be a major limitation in the use of functional types.     

Temporal fluctuations and experimental effects in desert plant communities

In the Chihuahuan Desert of the southwestern United States we monitored responses of both winter and summer annual plant communities to natural environmental variation and to experimental removal of seed-eating rodents and ants for 13 years. Analyses of data on population densities of the species by principal component analysis (PCA) followed by repeated measures analysis of variance (rmANOVA) on PCA scores showed that: (1) composition of both winter and summer annual communities varied substantially from year to year, presumably in response to interannual climatic variation, and (2) community composition of winter annuals was also significantly affected by the experimental manipulations of seed-eating animals, but the composition of the summer annual community showed no significant response to these experimental treatments. Canonical discriminant analysis (CDA) was then applied to the data for winter annuals to more clearly identify the responses to the different classes of experimental manipulations. This analysis showed that removing rodents or ants or both taxa caused distinctive changes in species composition. There was a tendency for large-seeded species to increase on rodent removal plots and to decrease on ant removal plots, and for small-seeded species to change in the opposite direction. In the winter annual community there was a significant time x treatment interaction: certain combinations of species that responded differently to removal of granivores also showed opposite fluctuations in response to long-term climatic variation. The large year-to-year variation in the summer annual community was closely and positively correlated across all experimental treatments. The use of multivariate analysis in conjunction with long-term monitoring and experimental manipulation shows how biotic interactions interact with variation in abiotic conditions to affect community dynamics.     

Introduction: A perspective from the humanities-science boundary

The articles in this special issue range across such influences on climate as solar emissions, orbital precession, atmosphere, oceans, and precipitation, and generally approach, each in some context, human implications of these phenomena. The common underlying theme of all of the papers is the effect the phenomena have on radiation balance as measured by global average temperature. This introductory paper undertakes a formulation of radiation balance theory that makes it serviceable to students of regional science. The objective is to go beyond inference of cause and effect by correlation to causal accounts of cause and effect through regional climatic and cultural processes. This is accomplished primarily by revisualization of the energy system with regions as dependent spatiotemporal entities, and temporally through a protocol for regional episode definition.This special issue ofHuman Ecology consists of the American Anthropological Association Invited Symposium on Global Climate Change.